摘要
目的通过回顾性分析探讨血液透析自体动静脉内瘘狭窄的相关因素。方法将使用自体动静脉内瘘进行维持性血液透析超过3a的58例尿毒症患者分为两组内瘘狭窄组22例;非狭窄组36例。分别比较上述两组的平均动脉压、透析超滤量、糖尿病例数等指标。结果内瘘狭窄组的平均动脉压明显低于非狭窄组(P<0.05),而透析超滤量明显高于非狭窄组(P<0.05);内瘘狭窄组的糖尿病患病率明显高于非狭窄组(P<0.05)。结论透析患者低血压、高超滤量及糖尿病等是自体动静脉内瘘狭窄的易患因素。
Objective:To investigate the relative factors inducing stenosis of native arteriovenous fistula (AVF) through retrospective survey study.Methods:All the 58 patients undergoing hemodialysis with native AVF more than 3 years were divided into two groups:AVF stenosed group (22 cases) and non-stenosed group(36 cases). The mean arterial pressure (MAP), ultrafiltration volume(UV) and the morbidity of Diabetics were observed in the two groups.Results:The MAP of AVF stenosed group was obviously lower than that of non-stenosed group(P<0.05), but the UV was higher(P<0.05). The morbidity of Diabetics in stenosed group were also higher (P<0.05).Conclusion:Hypotension,high ultrafiltration volume and diabetics seem easy to induce native AVF stenosis.
出处
《中国误诊学杂志》
CAS
2005年第2期213-215,共3页
Chinese Journal of Misdiagnostics
关键词
血液透析
动静脉瘘/外科学
狭窄
Hemodialysis
Arteriovenous fistula/surgery
Stenosis